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. 1998 Nov;48(436):1751–1754.

Why patients consult when they cough: a comparison of consulting and non-consulting patients.

C S Cornford 1
PMCID: PMC1313266  PMID: 10198482

Abstract

BACKGROUND: Although it is the commonest symptom presented to general practitioners (GPs), little is known about why someone decides to consult with a cough. AIM: To describe the illness behaviour of patients with a cough. METHOD: Patients who had consulted a GP because of a cough, and a group of subjects who had recently had a cough but had not consulted, were interviewed in a qualitative study that investigated how they made sense of their illness. RESULTS: Consulting patients understood their cough to be abnormally severe, whereas non-consulting subjects regarded their cough as 'normal' and mild. Consulting patients thought the cough would interfere with social roles and non-consulting subjects did not. The consulting patients were much more likely to be worried about the cough than the non-consulting subjects. In particular, half of the consulting patients were worried about their hearts, whereas the non-consulting subjects were not. The two groups did not distinguish bacteria from viruses, and did not differ in beliefs about the role of antibiotics that they thought were needed for severe coughs. Both groups had concerns about pollution. CONCLUSIONS: For consulting patients, cough breached the taken for granted property' of health that the non-consulting subjects with a cough were able to maintain. Cough, for the consulting patients, was not a trivial illness.

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Selected References

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  1. Alonzo A. A. Everyday illness behavior: a situational approach to health status deviations. Soc Sci Med. 1979 Jun;13A(4):397–404. [PubMed] [Google Scholar]
  2. Anderson J. M., Blue C., Lau A. Women's perspectives on chronic illness: ethnicity, ideology and restructuring of life. Soc Sci Med. 1991;33(2):101–113. doi: 10.1016/0277-9536(91)90171-8. [DOI] [PubMed] [Google Scholar]
  3. Banks M. H., Beresford S. A., Morrell D. C., Waller J. J., Watkins C. J. Factors influencing demand for primary medical care in women aged 20-44 years: a preliminary report. Int J Epidemiol. 1975 Sep;4(3):189–195. doi: 10.1093/ije/4.3.189. [DOI] [PubMed] [Google Scholar]
  4. Britten N., Jones R., Murphy E., Stacy R. Qualitative research methods in general practice and primary care. Fam Pract. 1995 Mar;12(1):104–114. doi: 10.1093/fampra/12.1.104. [DOI] [PubMed] [Google Scholar]
  5. Brorsson A., Råstam L. The patient's family history: a key to the physician's understanding of patients' fears. Fam Pract. 1993 Jun;10(2):197–200. doi: 10.1093/fampra/10.2.197. [DOI] [PubMed] [Google Scholar]
  6. Campbell S. M., Roland M. O. Why do people consult the doctor? Fam Pract. 1996 Feb;13(1):75–83. doi: 10.1093/fampra/13.1.75. [DOI] [PubMed] [Google Scholar]
  7. Cornford C. S., Morgan M., Ridsdale L. Why do mothers consult when their children cough? Fam Pract. 1993 Jun;10(2):193–196. doi: 10.1093/fampra/10.2.193. [DOI] [PubMed] [Google Scholar]
  8. Freer C. B. Self-care: a health diary study. Med Care. 1980 Aug;18(8):853–861. doi: 10.1097/00005650-198008000-00006. [DOI] [PubMed] [Google Scholar]
  9. Holman H. R. Qualitative inquiry in medical research. J Clin Epidemiol. 1993 Jan;46(1):29–36. doi: 10.1016/0895-4356(93)90006-m. [DOI] [PubMed] [Google Scholar]
  10. Idler E. L. Definitions of health and illness and medical sociology. Soc Sci Med Med Psychol Med Sociol. 1979 Nov;13A(6):723–731. [PubMed] [Google Scholar]
  11. Ingham J. G., Miller P. M. Self-referral to primary care: symptoms and social factors. J Psychosom Res. 1986;30(1):49–56. doi: 10.1016/0022-3999(86)90065-6. [DOI] [PubMed] [Google Scholar]
  12. Irvine S., Cunningham-Burley S. Mothers' concepts of normality, behavioural change and illness in their children. Br J Gen Pract. 1991 Sep;41(350):371–374. [PMC free article] [PubMed] [Google Scholar]
  13. Jones R. A., Wiese H. J., Moore R. W., Haley J. V. On the perceived meaning of symptoms. Med Care. 1981 Jul;19(7):710–717. doi: 10.1097/00005650-198107000-00002. [DOI] [PubMed] [Google Scholar]
  14. Kettell J., Jones R., Lydeard S. Reasons for consultation in irritable bowel syndrome: symptoms and patient characteristics. Br J Gen Pract. 1992 Nov;42(364):459–461. [PMC free article] [PubMed] [Google Scholar]
  15. Lydeard S., Jones R. Factors affecting the decision to consult with dyspepsia: comparison of consulters and non-consulters. J R Coll Gen Pract. 1989 Dec;39(329):495–498. [PMC free article] [PubMed] [Google Scholar]
  16. MECHANIC D. The concept of illness behavior. J Chronic Dis. 1962 Feb;15:189–194. doi: 10.1016/0021-9681(62)90068-1. [DOI] [PubMed] [Google Scholar]
  17. Morrell D. C. Symptom interpretation in general practice. J R Coll Gen Pract. 1972 May;22(118):297–309. [PMC free article] [PubMed] [Google Scholar]
  18. Morrell D. C., Wale C. J. Symptoms perceived and recorded by patients. J R Coll Gen Pract. 1976 Jun;26(167):398–403. [PMC free article] [PubMed] [Google Scholar]
  19. Olesen V., Schatzman L., Droes N., Hatton D., Chico N. The mundane ailment and the physical self: analysis of the social psychology of health and illness. Soc Sci Med. 1990;30(4):449–455. doi: 10.1016/0277-9536(90)90347-u. [DOI] [PubMed] [Google Scholar]
  20. Roberts C. R., Imrey P. B., Turner J. D., Hosokawa M. C., Alster J. M. Reducing physician visits for colds through consumer education. JAMA. 1983 Oct 21;250(15):1986–1989. [PubMed] [Google Scholar]
  21. Rutten G., Van Eijk J., Beek M., Van der Velden H. Patient education about cough: effect on the consulting behaviour of general practice patients. Br J Gen Pract. 1991 Jul;41(348):289–292. [PMC free article] [PubMed] [Google Scholar]
  22. Verbrugge L. M. From sneezes to adieux: stages of health for American men and women. Soc Sci Med. 1986;22(11):1195–1212. doi: 10.1016/0277-9536(86)90187-5. [DOI] [PubMed] [Google Scholar]
  23. Zola I. K. Pathways to the doctor-from person to patient. Soc Sci Med. 1973 Sep;7(9):677–689. doi: 10.1016/0037-7856(73)90002-4. [DOI] [PubMed] [Google Scholar]
  24. van de Kar A., Knottnerus A., Meertens R., Dubois V., Kok G. Why do patients consult the general practitioner? Determinants of their decision. Br J Gen Pract. 1992 Aug;42(361):313–316. [PMC free article] [PubMed] [Google Scholar]

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